Emerald Coast Orthopedics PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

EMERALD COAST ORTHOPEDICS PLLC

Practice address

120 N Richard Jackson Blvd Ste 140
Panama City, FL 32407-2522

Phone

(850) 532-6168

NPI assigned

Oct 22, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David R Dietrich, MDNPI 1871522250

Title

Owner

Phone

(850) 532-6168

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David R Dietrich, M.D.

  • Orthopaedic Surgery Physician
  • Panama City, FL
  • NPI 1871522250
  NPD Authorized official
• Gina Marie Hall, APRN

  • Family Nurse Practitioner
  • Panama City Beach, FL
  • NPI 1124681622
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1740823830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-532-6168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Internal Medicine and Geriatrics LLC
• Emerald Coast Medical Transport, Inc.
• Emerald Coast OBGYN, Inc
• Emerald Coast Obstetrics & Gynecology, P.a.
• Emerald Coast Pediatrics & Adolescents
• Emerald Coast Regen, PA
• Emerald Coast Sleep Diagnostics
• Emerald Coast Sleep Diagnostics
• Emerald Coast Ventures Inc

• Orthopaedic Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.